Plné znění - 241/2006 Sb.

Xxxxxxxxxxxxx xxx xxx Xxxxxxxxxx xx Applications for xxx Provision xx Xxxxxxxxx Xxxxxxx xx Xxxxxxx of Xxxxxxxx Xxxx xxxxxxxx xx Xxx No. 209/1997 Xxxx., xx xxx xxxxxxxxx xx fulancial xxxxxxx to the xxxxxxx xx criminal xxxx xxx on xxxxxxxx certain other xxxx, xx amended

Dear Xxx/Xxxxx,

Xx apologise xxx xxxxxxxxx xxx with xxxxxxxx questions xx xxxx xxxxxxx situation. Xxxxxxx, filling xx xxxx xxxxxxxxxxxxx xx xxxxxxxx xxx xxx xxxxx xxxxxxxxxx xx xxxx application xxx xxx xxxxxxxxx of xxxxxxxxx support xxxxxxxx xx Xxx no. 209/1997. Xxxxx you xxx xxxx cooperation; xx is xxxxxx xxxxxxxxxxx.

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X. Xxxxxx legibly xxxx xx xxx xxxxxxxx xxxx of xxx applicant - x.x. xxx xxxxxx xx the xxxxxxxx xxx xxx xxx xxxxxxxx xxxxxx xxxx, xx xxx xxxxxxxx xx x xxxxxx xxx xxx xxxx xx consequence xx xxx xxxxxxxx xxx:

1. Xxxxxxx:

2. Xxxxx xxxx:

3. Xxxx xx birth:

4. Xxxxxxxxx xxxxxxx:

5. Xxxx xxxxxxxx xxxxxxx (xxxxxx xx diffen xxxx xxx xxxxxxxxx xxxxxxx, xxxx):

6. Xxxxx Number:

7. X-xxxx xxxxxxx:

8. Xxxxxxxxxxx:

XX. Xx xxx xxxxxxxxx xx xxxxxxxxxxx by xxxxxxx xxxxxx ("xxxxxxxxxxxxxx") xx xxx basis xx xxxxxxxxx xxxxxxxxxxxxxx (xxx instance, a xxxxx xxxxx xxxxxxxxxxx xx his/her parent) xx on xxx xxxxx xx x xxxxx xx xxxxxxxx, xxxxxx fill xx xxx xxxx of xxxx xxxxxxxxxxxxxx:

1. Surname:

2. Xxxxx xxxx:

3. Xxxxxxxxx xx xxxxxxxxxx xxxxxxx:

Xx xxx representative xx xxxxxx the xxxxxxxxxxx xx xxxxxx xx xxx xxxxxxxxx, xxxxxx xxxx xxxxxx a xxxxxxxx authorizing him/her xx represent the xxxxxxxxx - x xxxx xx a xxxxx xx attorney (xxx xxxxxxxxxxx representation) xx x xxxx xx xxx xxxxx xxxxxxxxxxx (for xxxxxxxxx xxxxxxxxxxxxxx) xx any xxxxx xxxxxxxxxx document.

III. Xx xxx applicant xx x survivor xx a xxxxxx xxx has xxxx xx xxxxxxxxxxx of xxx respective xxxxxxxx xxx, xxxxxx xxxx xx xxx xxxxxxxx xxxx xx xxx xxxxxxxx:

1. Surname:

2. Given xxxx:

3. Xxxx xx xxxxx:

4. Xxxx of xxxxx:

5. Xxxx xxxxxxxxx xxxxxxx:

6. Xxxxxxxxxxx:

7. Xxxxxxxxxxxx xx the deceased xx the applicant (x.x. xxxxxx, daughter, xx xxxxxxxxxx xxxxxx xx xxxxxx xxxxxxxxx)

Xx xxx xxxxxxxxx xx x xxxxxxxx of x person xxx xxxx xx xxxxxxxxxxx xx xxx xxxxxxxx xxx, xxxxxx xxxxxx x copy of xxx death xxxxxxxxxxx xxx xxx xxxxxxxxx xxxxxxx that xxx xxxxxxxx supported xx xxx an xxxxxxxxxx xx xxxxxxx xxx xxxxxxxx (xx xxx xxxx xx a xxxxxx-xxxxx relationship, such xxxxxxxxx include birth xxxxxxxxxxxx xx x xxxxx xxxxxxxx xx xxx xxxxxxxxxx xx xxxxxxx xxx xxxxxxxxx; xx xxx xxxx xx xxxxxxx couples, xxxxxx xxxxxx x xxxxxxxx certificate).

Xxxxxx specify xxx xxxx xx which xxx xxxxx xxx xxxxxxxxx and, xx xxx xxxxxx learned xxxxx xxx consequences xx the crime xx x xxxxx xxxx, xxxxxx xxxx xxxxxxx xxx xxxx xxx xxx manner xx xxxxx xxx xxxxxx xxxxxxx xx xxxx xxxxxxxxxxxx (x.x., xxx date of xxx xxxxxxx xxxxxx).

XX. Xxxxxx xxxxxxx the xxxxxxxx xxxxxxx xxxxxxxxx (x.x. xxxxxx, xxxxxx xxxxxxxxxx'x office, court) xxxxx most recently xxxxxxxxx xxxxxxxx xxxxxxxxxxx. Xxxxx xxx xxxxxxxxx xxxxxx of the xxxx related xx xxx xxxxxxxxxx proceedings.

If xxxxxxxxx, xxxxxx xxxxxx xxx xxxxxx xxxxxxxx xx xxx abovementioned xxxxxxxx xxxxxxx xxxxxxxxx xxxxx xxxxx xxxxxxxx xxx xxxxx of xxx xxxxxxxxxx proceedings (x.x. xxxxxxxxxx on xxx discontinuation of xxxxxxxx xxxxxxxxxxx, xxxx xx xxx xxxxxxxxxx, xxxxxxxxx - xxxxx xx xxxxxxxxx).

Xxxxxxxxx xx xxx xxxxxxxxxx xx §8 xx Xxx xx. 209/1997, xxx amount of xxxxxxxxx support may xx reduced or xxxxxxxx xxxxxxxxx xx xxxxxxx the xxxxxx xxx made xxx xx xxx legal xxxxxxxx xx enforce x claim for xxxxxxxxxxxx against the xxxxxxxx xx any xxxxx xxxxxx xxxxxxxxxxx xxx xxx xxxx xxxxxxxx. Do xxx xxxx xx xxxx xxxx xx xxx xxxxxxxx has xxx xxxx identified.

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Fill xx xxxx XxXx xx xxx applicant xx x xxxxxxxx xx xx xxxxxxxxxx xxx xxx xxxx in xxxxxxxxxxx of the xxxxxxxxx xxxxx.

1. Xxx xxx x xxxxx, spouse xx xxxxx xx the xxxxxx xxx xxxx xx consequence of xxx xxxxxxxx xxxxxxx?

2. Xxx xxx live xx x xxxxxx xxxxxxxxx xxxx the xxxxxxxx xxxxxx xxxxx xx xxx xxxxxxxxxx xx xxx xxxxx?

3. Xxxx xxx a xxxxxxxxx xx xxx xxxxxx or xxx xxx xxxxxxxx obliged xx support you?

4. Xx xxx xxxxx xxxxxxx meet the xxxxxxxxxx xxxxxxxxx xx xxxxxxx 1 xx 3? Xxxxxx give xxxxx number, if xxxxx to xxx.

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Xxxxxxxxx xx the xxxxxxxxxx xx §2, xxxxxxx 2 xx Xxx xx. 209/1997, x xxxxxx who xx x survivor xx x xxxxxx xxx xxxx in consequence xx x criminal xxx xx xxxxxxxxxx xx xx x xxxxxx xx xx xx xxx xx x xxxxxx, spouse xx xxxxx xx xxx xxxxxxxx xxx xxxxx with xxx xx xxx in xxx same xxxxxxxxx xx if xxx xxxxxx xxx a xxxxxxxxx xx the xxxxxxxx or xxx xxxxxxxx xxx required xx xxxxxxx xxx xxxxxx.

Xx xxx xxxxxxxxx xx xxx xxxxxx xx x xxxxx xxx xxx xxxxxxxx xxxxxx harm, please xxxx in xxxxx XX - XXX.

Xxxxxx xxxxxx x xxxxx-xxxxx assessment xx pain xxx xxxxxxxxx xxxxxxxx to Xxxxxx Xx. 440/2001 Xxxx. Xxx xxxxxxxxxx xxxxxxxx xxxxxx xx xxxxxxxx from xxx xxxxxxxxx xxxxxxxxxxx xxx xxx xxxxxx'x xxxxxxxxx. Xxxx xxxxxxx xxxxxx xxxx contain a xxxxx-xxxxx assessment of xxx xxx suffered xxx x xxxxx-xxxxx xxxxxxxxxx of xxx xxxxxxxx xx xxx xxxxxx'x xxxxxx xxxxxxxx. Xxxxxx xxxx xx xxxx xxxx xxxx xxx xxxxx-xxxxx assessment xx xxx pam xxxxxxxx xx xxxxxxxx xxx xxx purposes xx Xxx xx. 209/1997. Xxxxxxxxx xx xxx xxxxxxxxxx xx §6, xxxxxxx 2 xx Xxx no. 209/1997, xx xxxxxxxxx xxxxxxx xxxx be xxxxxxxx xxxxxx xxx xxxxx xxxxxxxxxx xx xxx xxxx suffered xx xx xxxxx 100 xxxxxx.

Xxx xxxxxx xxx xxxxxx xxxx sum financial xxxxxxx xx xxx xxxxxx xx XXX 25,000 xx xx xxxxxx xxxxx xx xxx xxxxxx xxxxx xx xxxxxxx treatment xxx xxxx xxxxxx (§7, xxxxxxx 1, xxxxxx x of Xxx Xx. 209/1997 Xxxx.). xx xxx xxxxxx xx xxxxx xxx x lump xxx xxxxxxx, xxxxx xx xx xxxx xx fill in xxxxx XII - XxX.

This xxxxxxxx xxx xxxxxxxx for xxxxxxxxxx, sanitary equipment, xxxxxxxxxxxxxx xxxxx, xxxxxx xx assistant to xxxx out xx xxx xxxx xx xxxx xxxxxxx treatment, xxxxxxxxx transportation xxxxx xxx., provided xxxx xxxxx xxxx not xxxx paid by xx insurance xxxxxxx. xx such expenses xxx not xxxxxx xx xxxxxxxxxxx xxxxxxxx, xxx Xxxxxxxx of Xxxxxxx may xxx xxxx xxxx xxxx xxxxxxxxxxxxx.

Xxxxxx xxxxxx xxx xxxxxxxxx xxxxxxxxxx xxxx xxxxx xx xxx xxxxxxxxxxx.

Xx the xxxxxxxxx is xx xxxxxxxx, xxxxx xxxxxxxxx xxxxx xxxxxxx x xxxxxxxxx from his/her xxxxxxxx xxxxxxxxxx xxx xxxxxxx xxxxxx according xx §351 xx. xxx. xx Xxx xx. 262/2006, the Xxxxx Xxxxxx Xxxx, xx amended. lf xxx applicant is xxxx-xxxxxxxx, such document xxxxx be a xxxx of xxx/xxx xxxx xxxxxx tax xxxxxx. xx xxx xxxxxxxxx xx x xxxxxxx xxxxxx who xx able xx xxxxx xxx/xxx xxxxxxxx xxxxxx standing, xxxxxx xxxxxx x document xxxxxxxxxx xxx amount xx xxx xxxxxxxxxx xxxxxxx. xx for xxx xxxxxx xxx xxxxxxxxx'x xxxxxx xxxxxxxxx xxxxxx xx xxxxxx, xx xxxxxxxxxxx xxxxx xx xxxxxxxxx xxx xx xxxxxxxx.

Xx xxxxxx xxxxxxxx xxx xxxx impaired as x xxxxxx xx xxx xxxxxxxx xxx xx xxxxx X xxx x victim. X xxxx xxx xxx been xxxxxxxxxxx xxx xxx harm 1 xxxx xxxxxxxx xx a xxxxxx xx xxx criminal xxx.

X hereby xxxxxx xxxx X xxxx xxx xxxxxx any xxxxx for xxxxxxxxx xxxxxxx xx xxx xxxxxxx xxxxx xxx xxxxxxxxxxxx xxx xxx xxxx xxxxxxxx xx x xxxxxx of xxx xxxxxxxx xxx xx xxx country xxxxx than xxx Xxxxx Xxxxxxxx.

X xxxxxxxxxxx xxxx xxxxxxxxx xx §12 xx Xxx Xx. 209/1997 Xxxx., xx xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xxx xxx xxxxxxx xx xxxxxxxx acts xxx on xxxxxxxx xxxxxxx other xxxx, xx xxxxxxx, X xx xxxxxxx xx xxxxxxxxx xxx Xxxxxxxx xx Xxxxxxx xxx xxxxxx received xx xxxxxxxxxxxx xxx xxx xxxx suffered, xx xx xxx amount xx xxx financial xxxxxxx, within xxxx xxxxx from xxx xxxx of receiving xxx xxxxxxx xxxxxxx. X xxxx xxxxxxxxxxx xxxx, xxxxx xxx xxxxx xx the xxxx-xxxx period, I xxx file xx xxxxxxxxxxx xxxxxx xxx Xxxxxxxx xx Xxxxxxx xx xxxxx the xxxxx'x xxxxx for xxx return of xxx xxxxxxxx xxxxxxx, xxxxxx such a xxxxxx xx xxxx xxxxxxxx xx xx xxxxxx xxxxxxxx, xxx xxxxx xxxxxx xx xxxx suffered and xxx xxxxxx xx xxxxxxxxxxxx xxxxxxxx.

X xxxx xxxxxxxxxxx xxxx consciously xxxxxx xxxxx xx xxxxxxxxxx xxxxxxxxxxx or xxxxxxxxxxx xxxxxxxxxxx xxx xxx purposes xx xxxxxxxxxxxxx xxxxxxx xxxxxxxx xxx xxxxxxxxx an xxxxxxx xxxxxxxx xx §21, xxxxxxx 1, xxxxxx x) xx Xxx xx. 200/1990 Xxxx., xx offences xx xxxxxxx.

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Xxxxxxxxx xx xxx xxxxxxxxx or xxx/xxx xxxxxxxxxxxxxx

- Upon xxxxxxx xx xxx xxxxxxxxxxx xxx xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xxxxxxxx xx Xxx No. 209/1997, xxx Ministry of Xxxxxxx xxxxx xxxxxxx xxxxxxx xxx xxxxxx xx x serial xxxxxx. Xxxxxxxxxxxx, the Xxxxxxxx xxxxx xxxxxxxx xx investigation xxxx xxx xxxxxx xx x xxxxxxx xxxxxxxxx xx xxx xxx xxxxxxxx details xx xxx xxxx. Xxxxxx xxxxx xxxxxx xxxx xxx date xx xxx xxxxxxx of xxx application and xxxxxxxxxx of the xxxxxxxxx xxxxxxxxx, xxx Xxxxxxxx xxxxx xxxxxx xxxxxxx xxx xxxxxxx xx xxxxxx xxx xxxxxxxxx xx xxx xxxxxxx why xxxx xxxxxxx has xxxx xxxxxxxx.

- Xxx applicant xxxxx xx considered x victim xx xxx Xxx Xx. 209/1997 Xxxx. xxxx xx he/she has xxxxxxxx xxxxxx xxxx xx x xxxxxx xx xxx xxxxxxxxxx xx x xxxxx. X xxxxxxxxx but xxx xxx xxxx xxxxxxxxx for the xxxxxx'x xxxxxxx xx xxxxxxxx xxxxxxx xxxxx xx xxx xxxxxx xx the xxxxx-xxxxx xxxxxxxxxx xx the xxx xxxxxxxx (not xxx xxxxxxxxx xx xxxxxx xxxxxxxx), which xxxx xx xx xxxxx 100 points. Xxxxxxxxx xx x xxxxxx xxx xxx xxxx xx xxxxxxxxxxx xx a xxxxx xxxxx be considered xx be x xxxxxx xx the xxxxxxxx xx x xxxxxx, spouse or xxxxx xx xxx xxxxxxxx xxx xxx xxxxxxxx shared a xxxxxxxxx with xxx xxxxxxxx xx the xxxx xx xxx/xxx xxxxx xx xx xxx xxxxxxxx xxxxxxxxx xx xxx xxxxxxxx xx support xxx xxxxxxxx.

- Xxx Xx. 209/1997 Xxxx. xx xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xx xxxxxxx xx xxxxxxxx xxxx stipulates a xxxxxxxxxx xxxx xx 1 xxxx xxxx xxx xxxx xx xxxxx xxx victim xxxxxxx of xxx xxxx xxxxxx xx xxx crime. If xxxx xxxx xxxx xxx xxxxxxxx xxxx xxx date xx xxx commitment of xxx xxxxx, xxx xxxxxx xxxxx xxxxxxx xxxxxxxx of xxx xxxx on xxxxx xx/xxx learned of xxx xxxxxxxxxxxx. The Xxxxxxxx xx Justice xxxxxx xxxx xx xxxxxxxxxxx for xxx xxxxxxxxx of financial xxxxxxx xxxxxxxx xxxxxxx xxxxx xxx xxxxx xx xxx xxxxxxxxxxxxxx xxxxxx.

- Xxxxxxxxx support xx applied for xx x xxxxxx xxx xxx xxxxxxxx xxxxxx harm as x xxxxxx of xxx commitment xx x crime may xx xx the xxxx xx x xxxx xxx amounting xx XXX 25,000 xx xx amount xxxxx to xxxx xxxxxx xx the xxxxx xx xxxxxxx xxxxxxxxx xx proved xx xxx victim, xxxxxxx xx xxx xxxxxx xxxxxxxxxx paid xx xxx victim xx xxxxxxxxxxxx xxx xxx xxxx xxxxxxxx. Xxx xxxxx amount xx xxxx xxxxxxx xxxx not xxxxxx XXX 150,000. If, xxxxx xxx xxxxxxxxx xx xxxxxxx, xxx xxxxxx xxxxxx that xxx xxxx xxxxxxxx xxxxxxx the amount xxxxxxxx, xxx xxxxxx xxx xxxxxxx additional xxxxxxx xx xx xxx xxxxxx of XXX 150,000 xx xx/xxx xxxxxxx xxx xx xxxxxx the xxxxxxxxxxxxxx period of xxxx (i.e., 1 xxxx from the xxxx on xxxxx xxx victim learned xx the xxxx xxxxxx by the xxxxx); xx xxxx xxxx, any amounts xxxxxxx xxxx xxxx xx xxxxx xxxx xxxxxxx.

- An individual xxx is a xxxxxxxx of a xxxxxx xxx has xxxx xx x xxxxxx of xxx xxxxxxxxxx xx x xxxxx (a xxxxxx, xxxxxx xx child xx xxx deceased xxxxxx in a xxxxxx xxxxxxxxx xxxx xxx deceased xx xxx time xx xxx/xxx xxxxx or xxxxxxxxx by or xxxxxxxx to be xxxxxxxxx xx the xxxxxxxx) shall xx xxxxxxxx with x xxxx sum xxxxxxxxx xx CZK 150,000. Xxx xxxxx xxxxxx xxxxxxxx xx xxxxxxxxx xxxxxxx xxxxx not xxxxxx XXX 450,000; xxxxxx xxx xxxxxx xx victims exceed xxxxx, xxx amount xxxxxxxx per xxxxxx xxxxx xx xxxxxxx xxxxxxxxxxx.

- Xxx No. 209/1997 Xxxx. xxxx xxx replace xxx xxxxxxxxx of the xxxxxxxxx liability of xxxxxxxxx xx xxxxx xxxxxxxx xxxxxxx xx xxxxxxxxxx xxxxxxxxx xxxxxxxxx. Xx xxxxxxx xxxxxxx xx traffic accidents, xxxxxxxxxxxx for insurance xxxxxxxx xxxxxx xxxx xx xxxxxxxx xx xxx insurers providing xxxx xxxxxxxxx xxxxxxxxx. Xxxx in xxxxxxxx xxxxx, xx xxxx xx xxxxxxxxxxx circumstances, xxx xx xxxxxxxxxxx xxx the xxxxxxxxx xx xxxxxxxxx xxxxxxx xx filed xxxx xxx Ministry of Xxxxxxx.

- Xxxxxx bear xx xxxx that xxx available documents xxx xxxxxxxxxxxxx xxxxxxxx xxx the xxxxxxxxxx xxxxx xxxx be xxxxxxxx xx xxx xxxxxxxxxxx. If the xxxxxxxxx xxxxx xx xx xx, xxx Xxxxxxxx xx Xxxxxxx xxxxxx xxxxxxxx xxxxxxx xxx xxxxxxxxxxx. Xxxxxx xxx applicant xxxx xx xxxxxxx xxx xxxx xxxxxxxxx and xxxxxxxxxxxxx xxxx xxxxxx x supplementary deadline, xxxx xxxx xxx xxxxxxx x xxxxxxxx xx xxxxxxxx any xxxxxxx xx xxx Xxx No. 209/1997 Xxxx. Xxxx xxxxx xxx, xxxxxxx, xxxxxxxxx xxx xxxxxx xx xxxxxxx xxxxxxxxxxx.

- Xxxxxx xxxx xx xxxx xxxx xxx xxxxxxxxx xxxxx xx obliged xx xxxxxx any xxxxxxxxx xxxxxx xxxxxxxx xx xxxxxxxxxxxx xxx xxxx (xxxx xxx xxxxxxxx, insurers etc.) xx the account xx the Xxxxxxxx xx Justice up xx the xxxxxx xx the xxxxxxx xxxxxxxx. Xxxx obligation xxxx not apply xx xx/xxx xxx xxx received xxx xxxxxxxxxxxx. Xx xx xxxxxxxxx by xxx xxxxxx xx xx xxxxxxxxxxx, xxx Ministry xx Xxxxxxx may xxxxx xxx xxxxx'x xxxxx xx xxxxx xxx return xx xxx xxxxxxxxx support xxxxxxxx xxxxx xxx xxxxx xx xxx xxxx-xxxx term, provided xxxx x xxxxxx xx xxxxxxxxx xx xxx xxxxxx'x social xxxxxxxx, the total xxxxxx of the xxxx suffered and xxx xxxxxx xx xxxxxxxxxxxx paid xx xxx xxxxxx.

Xxxxxx xxx/xxxx/xxxxxx

Xxxxxxxxxxxxxxx xx, xx x xxxxxxxx, v xxxxxx xx xxxxxxxxxx, xxx xxxxxx Xxx xxxxxxxxx xxxxxxxxxxxx xxxxxxxx. X xxxxxx xxxxxxxx xxxxxxxxx Xxxxx žiadosti x xxxxxxxxxxx peňažnej xxxxxx xxxxxxx trestnej xxxxxxxx xxxľx xxxxxx č. 209/1997 Zb., xx však xxxxxxxxx xxxxx xxxxxxxxx xxxxxxxxxx. Xxxxxxxx Vám xx xxxxxxxxxx, ktorú si xxxxx xxxxxx.

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X. Xxxxxx, xxxxxxx xxxxxxľxx osobné xxxxx x xxxxxxxľxxx - obeti xxxxxxxxx xxxx, ktorej xxôxxxxxx xxxx xx xxxxxx, xxxxx xxxxx xxxxxxxxxx xx xxxxx, xxxxx x dôsledku trestného xxxx xxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Dátum xxxxxxxxx:

4. Xxxxxx xxxxxxxx xxxxxx:

5. Xxxxxxxxxxxxxx adresa (v xxxxxxx, xx xx xxxx xx xxxxxx xxxxxxxx bydliska):

6. Xxxxxxx:

7. X-Xxxx:

8. Xxxxxxxxxx:

XX. Xx xxxxxxxľx xxxxxxxxx xxx xxxxx (xxxxxxxx) xx xxxxxxx xxxxxxxxx zastúpenia (xxxx. maloleté xxxxx xxxxxx rodičom) alebo xx xxxxxxx dohody x plnej xxxx, xxxxxxx xxxxx o xxxxxxxxxx:

1. Xxxxxxxxxx:

2. Meno:

3. Xxxxxxxxxxxxxx adresa:

Ak xxxxxxx xx inú osobu, xxxx xx doložiť xxxxxxxxxx, ktorá zastúpenie xxxxxxx. Xxxxx x xxxxxxxx xxxxxxxx xxxxx xxxxx xxxx (xxx xxxxxxxx zastúpení) alebo xxxxx xxxxxxx xxxxx (x xxxxxxx xxxxxxxxx xxxxxxxxxx) xxxxx xxx xxxxxxx listinu.

III. Xx xxxxxxxľ xxxxx xxxxx xxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx, xxxxxxx, xxxxxx, xx xxxxx x xxxxxxx xxxxx:

1. Priezvisko:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Xxxxx xxxxxx:

5. Xxxxxxxx bydlisko:

7. Xxxxxxxxxx:

8. V akom xxxxxx bola xxxxxxx xxxxx x dôsledku xxxxxxxxx xxxx x xxxxx xxxxxxxľx (xxxx, xxxxx, osoba xxxxxx x xxxxxxxxx xxxxxxxxxx):

Xx xx xxxxxxxľ xxxxxx xxxxxxxxxx po osobe, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx, x žiadosti xx xxxx priložiť kópia xxxxxxxx listu x xxxxxxx, xxxxx xxxxxxxxx xxxxxxxxxx, že xxxxxx xxxxx xxxxxxxxxx pozostalú xxxxx alebo xxxx xxxxxxxxx ju vyživovať (xx xxxxxx xxxxx - xxxxx pôjde x xxxxx xxxx xxxxx rozhodnutie xxxx x vyživovacej xxxxxxxxxx, xxx xxxxxxxx xxxxx xxxxxxxx bude xxxxxxx xxxx a xxx.)

XX. Xxxxxx, xx xxxxxxx xxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxxxxx xxxxx alebo xxxxxxxx xx xxxxxxx xxxx; x takom xxxxxxx xxxxxxx xxxxxxx xxxxx Xxxxx xxxx.

X. Xxxxxx dátum, xxxx xx obeť xxxxxxxxx x xxxxx xxôxxxxxxx xxxxxxxx xxxxx.

Xxxxxx xxxxx xxxxxxxxx xxxxxxxxx xxxx x xx xx xxxx o škode xxx xxôxxxxxxx xxxxxxxxx xx xxxxôx, xxxxxx xxxx x xxx (xxxxxxxxx x xxxxxxxxx xxxxxx - xxxxx xxx xxxxxxxxxx).

XX. Xxxxxxx xxxxx xxxxx x xxxxxxxx konaní (xxxxxxxxx xxxxx, štátne xxxxxxxxxxxxxx, xxx), ktorý xxxxxxxxx xxxxx konanie x xxxxxxxx xxxx. Xxxxxx xx spisovú xxxxxx, xxx xxxxxx prebieha xxxxxxxxxxxx.

Xx máte x xxxxxxxxxx xxxxxxxx xxxxxxxxxxx xxxxxx xxxxxxx v xxxxxxxx konaní, ktoré xxxx predstavu o xxx, x xxxx xxxxxx xx xxx xxxxxxxx (xxxx. xxxxxxxxx x odložení xxxxxxxxx xxxxxxxx, xxxx xxxxxxxx, xxxxxxxx - x xxxxxxxxxxxxx), pripojte xx x xxxxxxxx.

XXX. Uveďte, xxxx xxôxxxxx xxx xxxxxxxxx xxxxx xx xxxxxxx xxxxx od xxxxxxxľx alebo inej xxxxx, xxxxx zodpovedá xx škodu.

Podľa xxxxxxxxxxx §8 zákona x. 209/1997 (Zb)., peňažitá xxxxx xx môže xxxxxx xxxxx sa xxxxxxxx x xxxxxxxxxxxxx xx xx, či xxxx využila xxxxxx xxxxxxx prostriedky xx xxxxxxxxxx nároku xx xxxxxxx xxxxx xx xxxxxxxľx alebo xxxx xxxxx, xxxxx xxxxxxxxx xx škodu. Tento xxx xxxxxxxxxxx, xx xxxxxxxľx trestného xxxx xxxxxxxxx.

Xxx XXXX. Vyplňte, xx xxxxxxxľ xx xxxxxxxxxx po xxxxx, xxxxx x dôsledku xxxxxxxxx xxxx xxxxxxx.

XXXX. Xxxxxx, xx xxx xxxxxxx xxxxxx, ktorá xxľxx xxxxxxxxx xxxxxxx x §2 odst. 2 zákona č. 209/1997 Xx., xxxxxxxx xxľxx osôb xxľxx xxxxx xxxxxxxxx, xx xx Xxx xxxxx xxxxxxxxxxx xxxxx.

1. Xxxx xxx rodičom, xxxxxxxx xxxxx dieťaťom osoby, xxxxx xxxxxxx x xôxxxxxx xxxxxxxxx xxxx?

2. Xxxx xxx x xxxxxx xxxxxxxxx xxxx xxxx xxxxxxxxx xxxxxxxxx xxxx x xxxxxxxxx xxxxxxxxxx?

3. Xxxxxxxxxxx Xxx xxxx trestného činu xxxxxx, xx bola x xxxx povinná?

4. Xxľxxxx další xxxxx xxxxxxxxxxx xxxxxxxxx 1 xx 3? Uveďte xxx počet, ak Xxx xx xxxxx.

Xxxľx xxxxxxxxxxx §2 xxxx. 2 zákona x. 209/1997 Zb. xx xx xxxx xxxxxxxx xxxxx xxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx, xx xx xxxxxxx, manželom xxxxx xxxxxxxx zomretého x xxxxxxx x xxxx xxxx smrti x xxx žila v xxxxxxxxxx xxxxx xxxxx, xxxxxx xxxxxx poskytoval xxxxx xxx xxxxxxx xxxxxxxxxx výživu.

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Body IX. xx XXX. Xxxxxxx, xx sa xxxxxxxľ xxxx obeťou trestného xxxx a xxxx xx xxôxxxxxx xxxx xx xxxxxx.

XX. Xxxxxx xxxxx, xxxx xx xxxxxxxx xxxxxxxx, respektíve xxxx sa xxxxxxxx xxxxxxxx neschopnosť.

X. Celková xxxxx xxxxxxxx xxxxxxxxxxx xx xxxxxx činí:

K xxxxxxxx xx musí xxxxxxxx bodové ohodnotenie xx xxxxxx xxxľx xxxxxxxx č. 440/2001 Zb., xxxxx xxxxxxxľ xxxxx xx xxxxxx, xxxxx ho xxxxxxxxx. Xxxxx lekársky xxxxxxx xxxx xxxxxxxxx xxxxxx xxxxxxxxxx xxxxxxxxx xxxxxxx a xxxxxx xxxxxxxxxx xxxxxxxx spoločenského xxxxxxxxxx. Xxxxxxxxxxx, že xxx účely xxxxxx č. 209/1997 Zb. xx relevantné xxx xxxxxx xxxxxxxxxxx xxxxxxxxx bolesti. Podľa xxxxxxxxxxx §6 xxxx. 2 xxxxxx x. 209/1997 Xx. xxxxxxx xxxxxxxxx' xxxxxxx xxxxx, xx bodové ohodnotenie xxxxxxxxx bolesti xxxxxxxxxx xxxxxxxx 100 bodov.

XI. Xxxxxx, xx xxxxxxx x poskytnutie xxxxxxxx xxxxxx vo xxxxx xxxxxxxxx xxxxxxx 25&xxxx;000.- Xx xxxxx xx xxxxxxxx xxxxx xxxxxx xxxxxxx x xxxxxxxx xx xxxxxxxx.

Xxxľx xxxxxxxxxxx §7 odst. 1 xxxx. x) zákona x. 209/1997 Xx. xx xxxxxxx xxxxx xxxxx xxxxxxxxx xxxxxxx xxxxx xx xxxxx xxxxxxxxx sumy 25 000.- Xx, xxxxx vo xxxxx xxxxxxxxxxxxxx xxxxxxxxxxx xxxxxxxx xx liečenie x xxxxxx xxxxxxx. Xx xx rozhodnete xxxxxx o xxxxxxx xxxxx xx výške xxxxxxxxx čiastky, xxxxxxxx xx xxxxxxxxx xxxx XXX. - XXX. xxxxx dotazníka.

XII. Xxxxxxx xxxxxxx x xxxxxxxx xxxxxx:

Xxx o xxxxxxx xx lieky, xxxxxxxxxxxx xxxôxxx, náklady xx xxxxxxxxxxxxx, xxxxxxxxx xxxxxx xxxxx na pomoc x xxxxxxxxxx xx xxxxxxxxxx, xxxxxxx náklady xx xxxxxxx, a xxx. xxx podmienkou, xx xxxxx náklady xxxxxxxxx xxxxxxxxx. Tu xxxxxxx náklady xx xxxxx doložiť, xxxx xx ne ministerstvo xxxxxxxxxxxxxx xxxxxx mócť xxxx xxxxxľ.

XXXX. Xxxxxxx xxxxxxxxx xxxxxx xxxxxxxľx xxxx x xx xxxxxx xxxx xx xxxxxx xxôxxxxxxx trestným xxxxx.

X xxxxxxxx xxxxxxxx xxxxxxx, xxxxx potvrdzujú xxxxxxx xxxxxxxxxxx.

X prípade, xx žiadateľ je x xxxxxxxxxxxxxx pomere, xôxxx o xxxxxxxxxx xxxxxxxxxxxxľx o xxxxxxxxxx xxxxxxx podľa §351 x xxxx. zákona x. 262/2006 Xx., xxxxxxxx xxxxx, x xxxxx neskorších xxxxxxxxx. Xx je xxxxxxxľ xxxxxx xxxxxxxxxx xxxxxxxxx xxxxxx, xxxxx listinou xxxx xxxxxxxxx xxxx xxxxxxxxxx daňového xxxxxxxxx. Xx žiadateľ xxxxxx xxxxxxxx dôchodok, dokladom, xxxxx môže dokázať xxxxxxxx xxxxxxxx xxxxxxxx, xxxx xxxxxxxxxx x xxxxx starobného dôchodku. X xxxxxxx, xx x nejakého xxxxxxxxx xôxxxx xxxxxxx xxxxxxx xxxxxxxxx pomery žiadateľa, x krajnom xxxxxxx xx xxxxx xxxxxxxx xxxxxxxxxx x xxxx xxxxxxx xxxxxxxxxx.

XXX. Xxxxxx xxxxx nemocenských dávok (xxxxxxxxxxx xôxxxxxx) a xxxx, xxxxxx xxx xxxxxxxľ xxxxxx, xx xxxxxxx xx xxxxxx xxxx xx xxxxxx, xxôxxxxxxx xxxxxxxx xxxxx.

X xxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxxxxxľx xxxxx poisťovne x xxxxx xxxxxxxxxxxx xxxxx. X xxxxxxx, xx x dôsledku xxxxx na xxxxxx xxôxxxxxxx xxxxxxxx xxxxx Xxx xxxxxxxx invalidný xôxxxxxx, uveďte x xxxxxxx xxxx výšku.

Xxxx majetkové pomery xx xxxx, xx xxxxxxxx činom, xxxxxxx xxx bol(a) xxxxxx, xx xxxx xxxxxxxx xxxxxxxx xxxxxxxx. Xxxxx, xxxxx mi xxxxx xxôxxxxx, xxxxxľ xxxxxx xxxxxxxx.

Xxxxxx xxxxxxxxxx, xx xxxxx na xxxxxxx xxxxx či xxxxxxx xxxxx na xxxxxxxxxxx xxxx xxôxxxxxxx xxxxxxxx xxxxx xxx xxxxxxxxxx(x) x xxxxxxx xxxx xxxxx xxx v Xxxxxx (Slovenskej) xxxxxxxxx.

Xxxxxx xx vedomie, že xx xxxľx xxx. §12 zákona x. 209/1997 Zb., x xxxxxxxxxx xxxxxxxx pomoci xxxxxxx xxxxxxxx xxxxxxxx x x xxxxx x x xxxxxxxx xxxxxxxxxx xxxxxxx, x xxxxx xxxxxxxxxx predpisov, xxxxxx xxxxxxxxx do xxxxxxx rokov odo xxx, xxx xx xxxxxxxx pomoc, xxxxxxx xx účet Xxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxxx, xxxxx xxx xxxxxx(x) xxx xxxxxxx xxxxx, x xx až xx xxxxx poskytnutej xxxxxx. Xxxxxxx x xxx xxxxxx xx xxxxxxx, xx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx xxxx xôxxx xxxxxxxx Ministerstvo xxxxxxxxxxxxxx, aby xx x xxxx xxxxx xxxxxx xxxxx na xxxxxxxx xxxxxxxxxxx xxxxxx, xx moja xxxxxxxx xxxxxxxx xxxx taký xxxxxx odôvodňovať, xxxxxxx xxxxx xxxxx, xxxxx xx xxôxxxxxx x xxxxx náhrady, ktorú xxx dostal(a).

Beriem tiež xx vedomie, xx xxxxxxxxx xxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxx xxxxx xx xxxx xxxxxxxxx xx xxxxxx získania xxxxxxxxxxxx xxxxxx, sa xôxxx xxxxxxxx xxxxxxxxxx xxxľx §21 xxxx. 1 písm. c) xxxxxx x. 200/1990 Xx., o priestupkoch, x znení neskorších xxxxxxxxx.

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xxxxxx žiadateľa xxxxx xxxxxxxx

- Xxxxxxxxxxxx spravodlivosti Xxxxx xxxxxxxxx xx xxxxxxx žiadosti o xxxxxxxxxxx peňažnej xxxxxx xxxľx zákona č. 209/1997 Zb. xxxxxxx xxx xxxxxx x xxxxx poradové xxxxx. Xxxxx xxxx xxxxxxxxxx xx xxxxxxx xx na xxxx xxxxxxxx xxxxxx podľa xxxxxxxxxxx okolností prípadu. Xx troch mesiacov xx xxxxxx xxxxxxxx x xxxxxxxxxx xxxxxxxxxx xxxxxxxx buď xxxxx xxxxxxxx alebo žiadateľovi xxxxxx xôxxxx, xxxxx xxxxx xxxxxxx xxxxxxxx.

- X xxxxxx xxxxxx č. 209/1997 Zb. xxxx žiadateľ xxxxxxxxxx xx obeť xxx x xxxxxxx, xx mu v xôxxxxxx xxxxxxxxx činu xxxx xxôxxxxxx poškodenie xxxxxxx. Xxxxxxxxxxx, xxx xxxx postačujúcou xxxxxxxxxx xx xxxxxxxxx xxxxxxxx xxxxxx takej obeti xx xxxxx xxxxxxxx xxxxxxxxxxx xxxxxxx (xxx xxxx xxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx) dosahujúceho xxxxx 100 xxxxx. Xx xxxx sa xxxxxxxx xx xxxxx xxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx trestného xxxx xxxxxxx, xx xxxx xxxxxxx, manželom xxxxx dieťaťom zomretého x xxxxxxx v xxxx jeho smrti x xxx žila x xxxxxxxxxx, xxxxx xxxxx, xxxxxx xxxxxxx xxxxxxxxxx xxxxx bol xxxxxxx xxxxxxxxxx xxxxxx.

- Xxxxx č. 209/1997 Zb. x xxxxxxxxxx xxxxxxxxx xxxxxx xxxxxxx xxxxxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxxx (xxxxxxxx) xxxx 1 xxxx xxx xxx, xxx xx xxxx xxxxxxxxx x xxxxx xxôxxxxxxx xxxxxxxx xxxxx. Ak xxxxx xxxx xx xxx xx deň xxxxxxxxx xxxxxxxxx xxxx, xxxx xxxxxxxx xxxxxxx, xxxx sa to xxxxx. Xxxxxxxxxxxx xxxxxxxxxxxxxx xxxôxx xxxxxxxx žiadostiam x xxxxxxxxxxx xxxxxxxx xxxxxx, xxxxx mu xxxxxxxx xx uplynutí xxxxxxxxxx xxxxxx.

- Xxxxx xx xx žiadosť xxxxx, xxxxxx v xôxxxxxx xxxxxxxxx xxxx xxxxxxx xxxxx xx xxxxxx, xxxxxxxx x xxxxxxxxx sume 25&xxxx;000.- Xx xxxxx xx xxxxx, ktorá predstavuje xxxxxxxxxx xxxxxx xx xxxxxxx, preukázané xxxxxxx xxxxxxx s liečením, xxxxxxx x xxxxx xxxxxxxx čiastok, ktoré xxxx z xxxxxx xxxxxxx škody xx xxxxxxx; pomoc xx xxxxxx xxxxx xxxxxx xxxxxxxxxx xxxx 150 000.- Xx. Xx xxxx - xx xxx, xxx xxx xxxxxxxx xxxxx - xxxxxxxx, xx xxx vzniknutá xxxxx xx vyššia xxx xx, xxxxx xxxx xxxxxxxxx xx xxxxxxxxxxx xxxxxx, na xxx xxxxxxx x xxxxxx xxxxxxxxxx xxxxx xxxxxxx jej možno xxxxxxxxx pomoc xxäx, x to až xx xxxxxxxxxx xxxxx 150&xxxx;000.- Xx; xxxxxx xx xxxxxxxxxx xx xxxxxxx, xxxxx už xxxx vyplatené.

- Xxxxxxxx xxxxx, xxxxx je xxxxxxxxxx po xxxxx, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx (xx xxxx rodičom, xxxxxxxx alebo xxxxxxxx xxxxxxxxx a xxxxxxx x xxxx xxxx xxxxx s xxx xxxx x xxxxxxxxxx, xxxxx xxx xxxxxxx xxxxxxxxxx, xx xxx xxxxxxx poskytovať výživu), xx xxxxxxxx xxxxxxx xxxxx x paušálnej xxxx 150&xxxx;000.- Kč; xxxxx xx xxxxxx xxxxx xxxxxx presiahnuť xxxx 450&xxxx;000.- Kč, x xx xx xxxxx xxxxx viac xxx tri xxxxx, xxxxxxxxxxx čiastka xx xxx každej xxxxx xxxxxxxxx xxxxx.

- Zákon č. 209/1997 Zb. xxxxxxxxxxxx xxxxxxxx xxxxxxxxxxx zodpovednosti xxxxxxxxxxľx xxxxxxxxxx xxxxxxxx, xx xxxxx xxxxäxxxx povinné xxxxxxx xxxxxxxxx zodpovednosti. Xxxxx xx xxxxxxxx x xxxxxxxxxxxxxx xxxxxxxxxx xxxôx xxxxxx subjekt, xxxxx xxxxxxxx poistenie xxxxxxxxxxxxx, o xxxxxxxxxxx xxxxxxxxx xxxxxxx. Len x xxxxxx xxxxxxxxxxx xxxxxxxxx x prihliadnutím xx xxxxxxxxx xxxxxxxxx xxxxxxxxx je xxxxx xxxxxx xxxxxxxxxxxx xxxxxxxxxxxxxx x poskytnutie peňažnej xxxxxx.

- Xxxxxxxxxxx, že xx xxxxxxxxxx xxxxxxxx xxxxxx xxxxxxxx xxxxxxx x xxxxxxxxxx, na xxxxx odkazujeme xxx xxxxxxxxxxxx xxxxxxxxx. Xx xxx xxxxxxxľ xxxxxxx, xxxxxxxxxxxx xxxxxxxxxxxxxx nemôže xxxxxxx žiadosť. Xx xxxxxx xxxxxxxxxx x xxxxxxx xxx xxxxxxxxx xxxxxx, xxxx skutočnosť xôxx xxx xôxxxxx xxxxxxxxxxxxx xxxxxxxx pomoci xxxľx xxxxxx č. 209/1997 Zb. Xx xxxx xxxxxxxxxx xxxxxxx xxxxx novú xxxxxxx.

- Upozorňujeme, že xx xxxx žiadateľovi xxxxxxxxxx peňažná xxxxx, xxxxxxxľ xx do xxxxxxx xxxxx odo xxx xxxxxxxxxxx xxxxxx xxxxxxx xx účet xxxxxxxxxxxx xxxxxxxxxxxxxx xxxx, xxxxx dostal xxx xxxxxxx škody (xx xxxxxxxľx, xxxxxxxxx x xxx.) xx do xxxxx poskytnutej xxxxxx. Xxxx xxxxxxxxx xxxx, xx mu xxxxx xxxxxxxxxx. Na xxxxxxx xxxxxxxx obete xx xxxxxxxxxxxx spravodlivosti xôxx x xxxx xxxxx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx doby xxxxx xxxxx xx xxxxxxxx xxxxxxxxxxx peňažnej xxxxxx. Xx xxxxxx postup xxôxxxxxxx xxxxxxxx xxxxxxxx xxxxx, celková xxxxx xxxxx, xxxxx xxx xxôxxxxxx, a xxxxx xxxxxxx, xxxxx obeť xxxxxxx.